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Home My WebLink AboutHomestead_Bradley INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 lo3PREPARER 3Fedr I.ADI,- •o°�' rt: )T°'� " 2 ' •Sr . •' •.. ...., -t�;•. i Mfflz,warara Teresa_ try t CLOSING AGENT Prepare of the Sales Disclosure Form Tide 501 MAIN ST STE 101 BOSSE TITLE CO Address(Number and Street) Company EVANSVILLE IN 47708 812-421-4000 City,State,and ZIP Code Telephone Number E-mail E?SEGI ERfsVGRANrrortIS) Ifls3�a=�rTAt ‘Ag ,.'W.:..tErAB.,a°a t _` affig•�"'• ga "4 n&tr,]c."\k cfl 40j�nC. na.AA k+. o nL,, \Y.L Sella-1-Name as appears on cvnveyankt•doament Seller 2-Name as appears on conveyance d• SOO Q1ron. T. r, . l j tilt Address(Number and Street) Address(Number and Street) ( (-\ Under penalties of and complete as repe bylaw,and is prepared in accordance swith IC 6-1.1-5.5,of my al coop y '3S `l�.a IJNTY Aj DI •ct GHUXn SU •UNTYAUDITOR Signs re afSeller Signature of Seller Gw rc.�'a- 7/9- /S- 'nteJ Name ofeler Sign Date(NM/DO/YY71) hinted Name of Seller Sign Date(NM/Da/YYYT) iF%BllYER(S)%GRANTEE(S)yARP.1lGATIQNjF.ORIP:RORRRTYi;TAX!DEDll.G11ONS 1 T ETITA1. ,ITENtSitaA7k'AE6IS-.h`_Wie;- "`'rte., Tvf x IRee d Bya.cl SS'W . •�. a • I Buyer l-Name as appears anveyance document Buyer l-Name asappears on conveyan- acummt II Rsoa S I.J\ ltelabrook Address(Number and Sweet) Address(Nu •- • ts THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION YES NO CONDITION ❑ 1.Will this property be the buyer's primary �❑c 3.Homestead residence? Provide complete address of primary ❑❑ L'J 4.Solar Energy Heating/Cooling System residence includ' county: CCCCJJJJ 5.Wind Power Device -780'Z S. W I tier-Ls-wilt-001C_ C4- (ardd,rr`uQ(Number and Street) /�� ❑ `n 6.Hydroelectric Power Device Y./e•S-rC.VISV I l if �-1 Unte Co c Gt IOSavt ❑ � 7.Geothermal Energy Heating/Cooling Device City,Sate ZIP Code ( Counry El----p 2.Does the buyer have a homestead in Indiana to be ❑ L�J 8.Is this property a residential rental property? vacated for this residence? If yes,provide ❑ E 9.Would you like to receive tax statements for this complete address of residence being vacated, property via e-mail?(Provide contact information including county: below.Please see instructions for more information. Not available in all counties.) Address(Number and Street) C:, — l1 al-,2©o-004. 7 95-oal City,State ZIP Code Counry Primary property owner contact name E-mail .